Group Forms

Group / Meeting List Information

Please fill in ALL information, old and new, in a legible fashion please.

To fill out PDF form:

  1. Click the link for the PDF Format below and save to your computer.
  2. Open the downloaded file with Adobe Acrobat Reader.
  3. Fill in the form.
  4. In Windows, save the form. On a Mac, print it as a pdf document and save the print file to your local drive.
  5. Open the saved file in Adobe Acrobat Reader to make sure the information has been saved.
  6. If the information is still intact, email the PDF file as an attachment to ‘’ with a copy to ‘’.
  7. If the information has been lost, print the form, fill in the information, then either scan and email the completed form as above or mail it to Meeting Chair, P.O. Box 659, Patchogue, New York 11772. Also, please email ‘’ with a description of what you did, the type of computer you were using, the operating system, and the version of Adobe Acrobat that you were using so we can fix the problem.
Format File
MS Word 93-2006 Meeting List Group Update Form
PDF Format Meeting List Group Update Form

SIA Hotline

To update your group’s 12 Step contact information:
  • FAX the completed form to 631-654-1110
  • OR

Phone Captains can use the following form to sign up group members for shifts during their group’s week:


People who are interested in speaking at Suffolk County Correctional Facilities must download and fill in the PDF forms. Please follow the directions closely.

Please download the attached clearance form, complete the top portion and email it back, along with a clear copy, enlarged if possible, of your Drivers License front and back to for processing. Clearance can take up to several weeks so please be patient.

The inmates are in need of speakers as often as permissible and you are doing a huge service to these individuals by volunteering your time, strength, hope and experience. Thank you!

Format File
Corrections Clearance Forms ** PAGE 1 ONLY **
Corrections Clearance Forms

AA Grapevine

Click here to go to AA Gravine Store front

Adobe Acrobat Reader

Click here to download Adobe Acrobat Reader